NPI | 1295031037 |
---|---|
Doing Business As | ABSOLUTEDX, LLC |
Entity Type | Organization |
Authorized Contact | JON KNIPPER Managing Director 815-773-5129 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Enumeration Date | 2011-01-26 |
Last Update Date | 2011-01-26 |